Summary
During the October 1973 military conflict, 41 burned patients hospitalized at the Sheba Medical Center were closely followed up. All the patients who had burns occupying 20% or more of the body surface developed wound infections. Pseudomonas aeruginosa was the major pathogen isolated. Most infections occurred during the second week following the injury. Serial cultures revealed that only the isolation of Proteus species and P. aeruginosa from wounds could predict an infection caused by those microorganisms. During treatment with gentamicin and carbenicillin a marked increase in carbenicillin-resistant P. acruginosa and gentamicin-resistant Klebsiella strains was noted. Cross-infection with carbenicillin-resistant P. aeruginosa was not a major cause in the development of resistant strains.
Zusammenfassung
Während des Yom-Kippur-Krieges wurden die Krankheitsverläufe von 41 Patienten mit Verbrennungen im Sheba Medical Center genau erfaßt. Alle Patienten, die Verbrennungen von 20% oder mehr der Hautoberfläche aufwiesen, entwickelten Wundinfektionen. Der am häufigsten isolierte Erreger war Pseudomonas acruginosa. Die meisten Infektionen traten während der zweiten Woche nach der Verbrennung auf. Verlaufskulturen bewiesen an Hand der alleinigen Isolierung von Proteus-Spezies und P. aeruginosa, daß eine Infektion durch diese Keime zustande kam. Während der Behandlung mit Gentamicin und Carbencillin trat ein deutlicher Anstieg von Carbencillin-resistenten P. aeruginosa und Gentamicin-resistenten Klebsiella-Stämmen auf. Die Übertragung von Carbencillin-resistenten P. aeruginosa im Hospital war nicht in erster Linie für das Auftreten der resistenten Stämme verantwortlich.
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Sidi, Y., Bogokowski, B., Tsur, H. et al. Infectious complications of burns casualties during the yom-kippur war. Infection 5, 214–218 (1977). https://doi.org/10.1007/BF01640783
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DOI: https://doi.org/10.1007/BF01640783